Active NPI
Mary E. Corbin, M.S., C.C.C.-S.L.P.
- Speech-Language Pathologist
- Wappingers Falls, NY
National Provider Identifier
1063724540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020019-1
- Practice address
- 10B Corbin LN
Wappingers Falls, NY 12590-6365 - Phone
- (845) 462-8164
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 020019-1 | NY | Primary |
Addresses
Primary practice location
10B Corbin LN
Wappingers Falls, NY 12590-6365
Mailing address
10B Corbin LN
Wappingers Falls, NY 12590-6365
Phone (845) 462-8164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020019-1 | NY | MD | Clinical Psychologist |
| 020019 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc, Inc. Dutchess County Chapter | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1760563738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1063724540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10B CORBIN LN",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125906365",
"telephone_number": "845-462-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10B CORBIN LN",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125906365",
"telephone_number": "845-462-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "MARY",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "M.S., C.C.C.-S.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020019-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.